OPEN MRI OF GLASTONBURY – NPI #1679776835
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

OPEN MRI OF GLASTONBURY is a radiologist located in GLASTONBURY, CT. NPPES has assigned the NPI number 1679776835 to OPEN MRI OF GLASTONBURY on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPEN MRI OF GLASTONBURY” is a dba name, the actual legal business name for this organization is MANDELL & BLAU, MD'S PC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Aug 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN MRI OF GLASTONBURY below.

NPI Profile for
MANDELL & BLAU, MD'S PC

NPI Number
1679776835
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANDELL & BLAU, MD'S PC
Doing Business As (dba): OPEN MRI OF GLASTONBURY
Primary location
124 HEBRON AVE STE 1B
GLASTONBURY, CT 06033-2063
Phone: (860) 657-2242 Fax: (860) 657-2264
Mailing address
PO BOX 230
GLASTONBURY, CT 06033-0230
Phone: (860) 633-8806 Fax: (860) 657-3788
Organization Subpart
No
Authorized Official
NEAL BARKOFF
PRESIDENT
Phone: (860) 633-8806
Updated
Identifiers

Identifiers for OPEN MRI OF GLASTONBURY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEM BC/BSCT15MRI0016CT03
OTHERCONNECTICARECT780678
OTHERHEALTHNETCT2V0862
OTHEROXFORDCTA369503
OTHERRAILROAD MEDICARECTCF9509
OTHERWELCARE/PREFERRED ONECT294659
MEDICAIDCT4000931
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.